Abstract：
Appropriate preoperative screening techniques are needed to safely provide anesthesia to increasing numbers of cannabis using surgical patients.
This was a quasi-experimental quality improvement project.
Preoperative identification of cannabis users by registered nurses (RNs) and certified registered nurse anesthetists (CRNAs) was compared to baseline identification rates. CRNAs\' compliance with evidenced base guidelines was recorded. Perioperative medication requirements were recorded and compared between cannabis-users and noncannabis users.
Identification of cannabis users by CRNAs conducting preanesthetic assessments increased from 4.08% to 14.36% while RN identification improved from 11.22% to 13.81%. Compliance with identification guidelines was 69.2% among CRNAs. There were no differences in anesthetic requirements, complications, or postanesthesia care unit (PACU) length of stay between cannabis users and nonusers.
Preoperative identification of cannabis users allows for safer, more effective perioperative care by CRNAs, registered nurses, and surgical staff.
This was a quasi-experimental quality improvement project.
Preoperative identification of cannabis users by registered nurses (RNs) and certified registered nurse anesthetists (CRNAs) was compared to baseline identification rates. CRNAs\' compliance with evidenced base guidelines was recorded. Perioperative medication requirements were recorded and compared between cannabis-users and noncannabis users.
Identification of cannabis users by CRNAs conducting preanesthetic assessments increased from 4.08% to 14.36% while RN identification improved from 11.22% to 13.81%. Compliance with identification guidelines was 69.2% among CRNAs. There were no differences in anesthetic requirements, complications, or postanesthesia care unit (PACU) length of stay between cannabis users and nonusers.
Preoperative identification of cannabis users allows for safer, more effective perioperative care by CRNAs, registered nurses, and surgical staff.
摘要：
目的：需要适当的术前筛查技术来安全地为使用手术的越来越多的大麻患者提供麻醉。
方法：这是一个准实验质量改进项目。
方法：将注册护士（RN）和注册护士麻醉师（CRNA）对大麻使用者的术前鉴定与基线鉴定率进行比较。记录了CRNA对有证据的基本指南的遵守情况。记录并比较了大麻使用者和非大麻使用者的围手术期药物需求。
结果：进行麻醉前评估的CRNA对大麻使用者的识别从4.08％增加到14.36％，而RN识别从11.22％提高到13.81％。CRNA中符合识别指南的比例为69.2%。麻醉需求没有差异，并发症,或大麻使用者和非使用者之间的麻醉后护理单位（PACU）停留时间。
结论：术前识别大麻使用者可以更安全，CRNA更有效的围手术期护理，注册护士,和外科工作人员。
方法：这是一个准实验质量改进项目。
方法：将注册护士（RN）和注册护士麻醉师（CRNA）对大麻使用者的术前鉴定与基线鉴定率进行比较。记录了CRNA对有证据的基本指南的遵守情况。记录并比较了大麻使用者和非大麻使用者的围手术期药物需求。
结果：进行麻醉前评估的CRNA对大麻使用者的识别从4.08％增加到14.36％，而RN识别从11.22％提高到13.81％。CRNA中符合识别指南的比例为69.2%。麻醉需求没有差异，并发症,或大麻使用者和非使用者之间的麻醉后护理单位（PACU）停留时间。
结论：术前识别大麻使用者可以更安全，CRNA更有效的围手术期护理，注册护士,和外科工作人员。
